Gehrke, Glenn Allen

Gehrke, Glenn Allen is an individual health care provider with primary practice located at 8001 Centerview Pkwy Ste 215 , Cordova TN 38018-4276. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gehrke, Glenn Allen can be contacted via phone (901) 249-5905.

Contact Information

Primary practice address
8001 Centerview Pkwy Ste 215 Cordova TN 38018-4276
Phone: (901) 249-5905
Fax: (901) 249-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301080570 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301080570 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 24839 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 53805 Tennessee
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301080570 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 24839 Mississippi
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 53805 Tennessee

Profile Details

NPI number 1073696977
LBN Legal business name Gehrke, Glenn Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073696977 NPPES
Tennessee Other 6066289 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID Q022062 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 07274365 BLUE CROSS BLUE SHIELD
Tennessee Other P01704491 BLUE CROSS BLUE SHIELD

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